RT Journal Article SR Electronic T1 Proinflammatory and autoimmunogenic gut microbiome in systemic lupus erythematosus JF bioRxiv FD Cold Spring Harbor Laboratory SP 621995 DO 10.1101/621995 A1 Chen, Bei-di A1 Jia, Xin-miao A1 Xu, Jia-yue A1 Zhao, Li-dan A1 Ji, Jun-yi A1 Wu, Bing-xuan A1 Fei, Yun-yun A1 Yang, Hua-xia A1 Chen, Hua A1 Zuo, Xiao-xia A1 Li, Hui A1 Pan, Wen-you A1 Wang, Xiao-han A1 Ye, Shuang A1 Guo, Dong-geng A1 Wang, Li A1 Li, Jing A1 Peng, Lin-yi A1 Zheng, Wen-jie A1 Zhang, Wen A1 Zhang, Feng-chun A1 Zhang, Jian-min A1 He, Wei A1 Cao, Xue-tao A1 Liu, De-pei A1 Wang, Jun A1 Zhang, Xuan YR 2019 UL http://biorxiv.org/content/early/2019/04/29/621995.abstract AB Systemic lupus erythematosus (SLE), characterized by chronic inflammation and multi-organ damage, has been suggested to associate with gut dysbiosis, but knowledge is limited from small sample size and 16s rRNA-based studies. To shed new light on the role of microbiota in SLE development, we analyzed the fecal metagenome of 117 treatment-naïve SLE patients and 115 sex- and age-matched healthy controls (HC) by deep-sequencing; in addition, 52 of the aforementioned patients have post-treatment fecal metagenome for comparison. We found significant differences in microbial composition and function between SLE and HC, revealing multiple plausible contributing bacterial species and metabolic pathways in SLE. In-depth SNP-based analysis revealed an oral-microbiome origin for two marker species, strengthening the importance of bacterial translocation in disease development. Lastly, we confirmed experimentally that peptides of SLE-enriched species mimicking autoantigens such as Sm and Fas could trigger autoimmune responses, suggesting a potential causal role of gut microbiota in SLE.